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Pediatric Interview and Well Child Exam Suggestions

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Pediatric Interview and Well Child Exam - suggestions
Preschool and School aged (3-12)
INTRODUCTION
Introduce self to parent.
Maintain good eye contact with parent.
Inquire about the reason for the visit.
Inquire about interval history since the last visit.
PAST MEDICAL HISTORY and BIRTH HISTORY PRENATAL for any child 4 or younger, or any
child with major medical problems
Diseases/illness during pregnancy
Medications (prescription and non-prescription) during pregnancy
Drug/Alcohol/Tobacco use during pregnancy
Gestational age of infant at delivery
Complications during delivery
Need for medical treatments (phototherapy, oxygen, transfusions, antibiotics)
OTHER PAST MEDICAL HISTORY
Illnesses
Exposures to harmful substances
Accidents or injuries
Hospitalizations or Surgeries
Medications (complete with dosages, frequency, and reason)
Allergies to medications or food (with reaction)
OTHER PEDIATRIC HISTORY
FEEDING HISTORY EARLY AND MIDDLE CHILDHOOD / ADOLESCENCE
Appetite
Types of food/milk eaten and amounts
Parental attitudes toward eating
Difficulties or concerns with eating
OTHER PEDIATRIC HISTORY
DEVELOPMENTAL HISTORY & MILESTONES
General physical growth parameters throughout childhood (growth spurts)
Concerns with child meeting past developmental milestones
Sleeping patterns (day and night)
Any concerns with ritualistic behavior or habits
Discipline techniques used and effectiveness
School (academic achievements, social relationships, concerns)
Peer relationships (concerns, types)

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Sexuality (interactions with opposite sex, knowledge of conception,
pregnancy, differences in boys and girls, parental attitude toward sex
education, dating patterns)
Personality (degree of independence, relationships with parents and siblings,
imaginary friends, self-image)
Addresses the “Suicide” component of the HEADSS assessment.
Addresses the “Home” component of the HEADSS assessment.
Addresses the “Activities/Employment” component of the HEADSS
assessment.
IMMUNIZATIONS
Current immunization status
Past reactions to immunizations
Parental attitude toward immunizations
FAMILY HISTORY
Medical history of grandparents
Medical history of parents
Medical history of siblings
Other general familial diseases
SOCIAL HISTORY
Other household members (relationship to patient and age)
Immediate family members not living in the household
Childcare arrangements
Financial resources of family
Childproofing and safety concerns around house (including gun safety)
Any recent changes/problems with living/family environments
Recent travel or relocation
Pets or exposure to animals
Drug use (family or patient)
Alcohol use (family or patient)
Tobacco use (family or patient)
Seatbelts/carseats/booster seats. Helmet use. Swimming pool at home?
Concerns for abuse
NP Student: Communication and Skills
Verbalizes necessary immunizations at this visit based on CDC
recommendations (chart available to students)
Verbalizes anticipatory guidance with regard to AAP car seat / safety belt
guidelines.
Verbalizes one additional component of age-appropriate anticipatory guidance
according to Bright Futures Guidelines.
Properly charts the patient’s stature for age on the CDC growth chart.

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Pediatric Interview and Well Child Exam - suggestions Preschool and School aged (3-12) INTRODUCTION Introduce self to parent. Maintain good eye contact with parent. Inquire about the reason for the visit. Inquire about interval history since the last visit. PAST MEDICAL HISTORY and BIRTH HISTORY – PRENATAL for any child 4 or younger, or any child with major medical problems Diseases/illness during pregnancy Medications (prescription and non-prescription) during pregnancy Drug/Alcohol/Tobacco use during pregnancy Gestational age of infant at delivery Complications during delivery Need for medical treatments (phototherapy, oxygen, transfusions, antibiotics) OTHER PAST MEDICAL HISTORY Illnesses Exposures to harmful substances Accidents or injuries Hospitalizations or Surgeries Medications (complete with dosages, frequency, and reason) Allergies to medications or food (with reaction) OTHER ...
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